Job Details

Eligibility & Prior Authorization Specialist Contract: 2-months contract with possible extensionShift: 08:00 AM – 05:00 PM (Monday-Friday)Responsibilities Manage administrative intake of facilities, provider offices and members.Work with hospitals, clinics, facilities, and the clinical team to manage requests for services from members and/or providers.Process incoming and outgoing referrals, and prior authorizations, including intake, notification, and census roles.Assist the clinical staff with setting up documents/triage cases for clinical coverage review.Handle resolution/inquiries from members and/or providers.This is high volume, customer service environment.You'll need to be efficient, productive and thoroughly deal with our members over the phone.Software skills: Computer skills – Adobe, Facets, MacessInterview process: TelephonicallySeniority level: AssociateEmployment type: ContractJob function: Health Care ProviderIndustries: Hospitals and Health Care#J-18808-Ljbffr